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Schweiger, M; Dave, H; Kelly, J; Hübler, M.
Strategic and operational aspects of a transfusion-free neonatal arterial switch operation.
Interact Cardiovasc Thorac Surg. 2013; 16(6):890-891 Doi: 10.1093/icvts/ivt010 (- Case Report) [OPEN ACCESS]
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Leading authors Med Uni Graz
Schweiger Martin
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Abstract:
Blood transfusion-free complex congenital cardiac surgery in a neonate remains a challenge for multidisciplinary cardiac teams. At our institution, a 3.5 kg neonate, born to a family of Jehovah's Witnesses and postnatally diagnosed with dextro-transposition of the great arteries (d-TGA) and a small muscular ventricular septal defect, underwent a successful arterial switch operation without blood or platelet transfusion. Key points that contributed to success were optimal preoperative haematopoetic conditioning using erythropoietin and iron, a miniaturized cardiopulmonary bypass circuit including a low prime volume oxygenator and crystalloid cardioplegia, and a well-coordinated multidisciplinary team. We report an overview of the literature regarding blood transfusion-free complex congenital cardiac surgery.
Find related publications in this database (using NLM MeSH Indexing)
Biological Markers - blood
Blood Transfusion, Autologous -
Bloodless Medical and Surgical Procedures - adverse effects
Cardiac Surgical Procedures - adverse effects
Cardiopulmonary Bypass -
Drug Administration Schedule -
Erythropoietin - administration & dosage
Health Knowledge, Attitudes, Practice -
Heart Arrest, Induced -
Hematinics - administration & dosage
Hematocrit -
Hemoglobins - metabolism
Humans -
Infant, Newborn -
Iron - administration & dosage
Jehovah's Witnesses - psychology
Male -
Operative Blood Salvage -
Religion and Medicine -
Time Factors -
Transposition of Great Vessels - diagnosis
Treatment Outcome -

Find related publications in this database (Keywords)
Congenital cardiac surgery
Arterial switch operation
Jehovah's Witness
Blood transfusion-free
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